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UHC Complete Care PA-17 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care PA-17 (HMO-POS C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Complete Care PA-17 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care PA-17 (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of Pennsylvania. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care PA-17 (HMO-POS C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UHC Complete Care PA-17 (HMO-POS C-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Complete Care PA-17 (HMO-POS C-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UHC Complete Care PA-17 (HMO-POS C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $440.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $6700.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The UHC Complete Care PA-17 (HMO-POS C-SNP) plan features an annual drug deductible of $440. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies and mail-order services. Tier 2 generic drugs cost an $8.00 copay for a 1-month supply at standard pharmacies, but you can secure a 3-month supply with no copay through preferred mail order. Brand-name and specialty medications are subject to coinsurance rather than flat copays under this plan. Tier 3 preferred brands require 20% coinsurance, while Tier 4 non-preferred drugs and Tier 5 specialty drugs carry 43% and 28% coinsurance, respectively, at standard pharmacies and through mail order.
Additional Benefits
The UHC Complete Care PA-17 (HMO-POS C-SNP) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care visits, preventive services, lab exams, and home health care. For specialized medical needs, members pay no coinsurance, with copays ranging from no copay up to $35 for specialist visits and no copay to $50 for urgent care. Inpatient hospital stays require a daily copay of $395 for the first few days, after which there is no copay, while emergency room visits incur a flat $130 copay that is waived if admitted. Routine vision and preventive dental services are highly accessible with no copay and no coinsurance, although comprehensive dental services are not covered. Members also benefit from no copay for over-the-counter items, fitness programs, and diabetic supplies. Prescription hearing aids, diagnostic tests, and durable medical equipment are covered with predictable copays or a 20% coinsurance, ensuring affordable access to essential medical devices and therapies.
Inpatient Hospital See details
UHC Complete Care PA-17 (HMO-POS C-SNP) covers inpatient hospital services with no coinsurance, requiring a $395 daily copay for days 1 through 6 of acute stays (no copay for days 7 and beyond) and a $395 daily copay for days 1 through 5 of psychiatric stays (no copay for days 6 through 90). Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care PA-17 (HMO-POS C-SNP) covers outpatient services with no coinsurance, featuring a copay of $0 to $395 for outpatient hospital services and a $395 daily copay for observation services. Ambulatory surgical center and outpatient blood services are fully covered with no copay and no coinsurance, while outpatient substance abuse services require no coinsurance and copays ranging from $0 to $25 per session.
Partial Hospitalization See details
Partial hospitalization services are covered by UHC Complete Care PA-17 (HMO-POS C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
UHC Complete Care PA-17 (HMO-POS C-SNP) covers Medicare-approved ground and air ambulance services with a $275 copay and no coinsurance, with prior authorization required. Transportation services to health-related locations are not covered.
Emergency Services See details
UHC Complete Care PA-17 (HMO-POS C-SNP) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay ranging from $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Complete Care PA-17 (HMO-POS C-SNP) offers primary care, telehealth, and opioid treatment services with no copay and no coinsurance. Specialist visits, therapy, mental health, and podiatry services are covered with no coinsurance and copays ranging from $0 to $35, though some chiropractic services are covered but routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by UHC Complete Care PA-17 (HMO-POS C-SNP) with no copay and no coinsurance for annual physical exams, kidney disease education, glaucoma screenings, diabetes self-management training, digital rectal exams, and EKGs. Additional preventive services are only partially covered; fitness benefits and home safety devices feature no copay and no coinsurance, but health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation counseling, disease management, telemonitoring, remote access technologies, and counseling are not covered.
Hearing Services See details
UHC Complete Care PA-17 (HMO-POS C-SNP) offers partially covered hearing services, which exclude fitting and evaluation exams along with inner, outer, and over-the-ear prescription hearing aids. Routine exams have no copay and no coinsurance, while covered prescription and OTC hearing aids feature no coinsurance and copays ranging from $199.00 to $1,249.00.
Vision Services See details
Vision Services are partially covered by UHC Complete Care PA-17 (HMO-POS C-SNP) with no deductibles and no coinsurance. Routine eye exams, contact lenses, and eyeglass frames are offered with no copay, while eyeglass lenses have a copay of $0.00 to $153.00 (subject to a $300 combined limit every two years); however, other eye exams, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care PA-17 (HMO-POS C-SNP), offering preventive care like cleanings, exams, fluoride, and x-rays with no copay and no coinsurance, and Medicare-covered dental with no copay and a 20% coinsurance. Comprehensive services, including restorative, endodontics, periodontics, prosthodontics, oral surgery, implants, and orthodontics, are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care PA-17 (HMO-POS C-SNP) with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs have no copay and a coinsurance ranging from no coinsurance to 20%. Medicare Part B insulin is covered with a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered by the UHC Complete Care PA-17 (HMO-POS C-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Medical equipment is covered by UHC Complete Care PA-17 (HMO-POS C-SNP), offering durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies and therapeutic shoes are also covered with no copay and no coinsurance, though prior authorization is required.
Diagnostic and Radiological Services See details
UHC Complete Care PA-17 (HMO-POS C-SNP) covers diagnostic services with no coinsurance, featuring a $50 copay for diagnostic tests and no copay for lab services. Under this plan, diagnostic radiological services have no copay, outpatient X-rays require a $25 copay, and therapeutic radiological services have a 20% coinsurance, with prior authorization required for all services.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care PA-17 (HMO-POS C-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by UHC Complete Care PA-17 (HMO-POS C-SNP) with no copay and no coinsurance, but only some services are covered because cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by UHC Complete Care PA-17 (HMO-POS C-SNP) with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, a prior three-day inpatient hospital stay is not required for admission, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by UHC Complete Care PA-17 (HMO-POS C-SNP), featuring no copay and no coinsurance for over-the-counter (OTC) items and meal benefits. Prior authorization is required for the meal benefit, and acupuncture is not covered.
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